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1093944365
ESTEBAN D ACOSTA
TUBA CITY, AZ
NPI
1093944365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: CT 073898)
Enumeration Date
2009-07-08
Last Update Date
2009-07-08
Business Address
-- ESTEBAN D ACOSTA RN
167 N MAIN ST.
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- ESTEBAN D ACOSTA RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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